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The essential guide to MiCBT for therapists working in clinical settings
The Clinical Handbook of Mindfulness-integrated Cognitive Behavior Therapy offers therapists working in clinical settings a practical set of evidence-based techniques derived from mindfulness (vipassana) training and the principles of Cognitive Behavior Therapy. The increasing popularity of Mindfulness-integrated Cognitive Behavior Therapy (MiCBT) is principally attributed to its transdiagnostic applications. It offers novel tools that address a broad range of psychological disorders both acute and chronic, including those with complex comorbidities, and helps prevent relapse.
The authoritative guide to this unique approach includes:
Written for mental health therapists working with groups and individual clients, The Clinical Handbook of Mindfulness-integrated Cognitive Behavior Therapy offers an effective guide for implementing the principles of MiCBT within their professional practice.
BRUNO A. CAYOUN is a clinical psychologist, researcher and the developer of Mindfulness-integrated Cognitive Behavior Therapy. He is the founder and Director of the MiCBT Institute.
SARAH E. FRANCIS is a registered psychologist trained in a number of mindfulness-based therapies. She specializes in the research and clinical applications of Mindfulness-integrated Cognitive Behavior Therapy.
ALICE G. SHIRES is a clinical psychologist and Director of the Psychology Clinic at the Graduate School of Health, University of Technology, Sydney (UTS) and heads the UTS Mindfulness Integrated Therapies Research Clinic.
About the Authors xiv
Foreword xvi
Acknowledgments xviii
Introduction xix
About the Companion Website xxiii
Part 1 The MiCBT Approach, Theory and Validation 1
1 Principles of MiCBT 3
Definition and Purpose of Mindfulness 3
Origin and Development 5
Basic Principles 7
Structure and Content of MiCBT: The Four Stages 11
References 19
2 Theoretical Framework and Empirical Findings 23
The Co‐emergence Model of Reinforcement: A Rationale for MiCBT 24
Empirical Evidence 32
References 35
3 Preparing for Implementation 40
Importance of Commitment 40
Helpful Attitudes 42
Program Delivery 46
Client Suitability and Contraindications 46
Professional Training and Ethics 47
Resources 49
References 50
Part 2 Step-by-Step Application 53
Session 1: Therapy Contract and Commitment to Self‐Care 55
Writing a “Therapy Contract” 55
Readiness for Change 57
Three Ways of Learning 58
Importance of Neuroplasticity 62
This Week’s Practice 62
Application with Individual Clients 64
Application with Groups 67
Frequently Asked Questions 71
References 84
Session 2: Regulating Attention Through Mindfulness of Breath 85
Introduction 85
Checking Client Readiness 85
Purpose of Mindfulness of Breath 86
Practice Set‐up 87
Differentiating Mindfulness from Attentiveness 92
Normalizing Intrusive Thoughts 93
Application with Individual Clients 97
Application with Groups 100
Frequently Asked Questions 104
References 115
Session 3: Understanding and Regulating Emotions 117
Introduction 117
Checking Client Readiness 117
Mindfulness of Body Sensations 118
The Main Purpose of Learning Body Scanning 120
Implications of Co‐emergence Effects 122
Explaining the Co‐emergence Model of Reinforcement 123
Experiential Explanation of the Co‐Emergence Model 125
Example of Use of the Diary of Reactive Habits 126
Mindfulness of Body Sensation Through “Body Scanning” 127
Application with Individual Clients 129
Application with Groups 131
Frequently Asked Questions 133
References 145
Session 4: Applied Practice and Skill Transfer 147
Introduction 147
Checking Client Readiness 147
Increasing Practice Efficacy 148
Effects of Body Scanning on the Development of Insight 152
Applying the Practice and Recording Equanimity 153
Application with Individual Clients 156
Application with Groups 158
Frequently Asked Questions 160
References 173
Session 5: Integrating Mindfulness and Behavioral Methods 174
Introduction 174
Checking Client Readiness 175
Advanced Scanning: Symmetrical Scanning 176
Integrating Mindfulness with Exposure Skills 178
Application with Individual Clients 186
Application with Groups 188
Frequently Asked Questions 191
References 203
Session 6: Generalizing Self‐Confidence and Self‐Efficacy 204
Introduction 204
Checking Client Readiness 204
Advanced Scanning: Partial Sweeping 206
Extending the Integration of Mindfulness and Exposure: Bipolar and in‐vivo Exposure 209
Application with Individual Clients 212
Application with Groups 214
Frequently Asked Questions 216
References 228
Session 7: Developing Interpersonal Insight 229
Introduction 229
Checking Client Readiness 229
Advanced Scanning: Sweeping en masse 230
Integrating Mindfulness with Interpersonal Skills 234
Experiential Ownership 235
Application with Individual Clients 240
Application with Groups 241
Frequently Asked Questions 243
References 254
Session 8: Mindful Communication Skills 255
Introduction 255
Checking Client Readiness 255
Advanced Scanning: Transversal Scanning 256
Assertive Communication 258
Mindful Assertiveness 261
Mindful Assertiveness and the Co‐emergence Model 264
Application with Individual Clients 265
Applications with Groups 266
Frequently Asked Questions 267
References 276
Session 9: Cultivating Compassion and Connectedness 277
Introduction 277
Checking Client Readiness 278
Advanced Scanning: Sweeping in Depth 279
Cultivating Interpersonal Connectedness and Compassion 280
Loving‐Kindness Meditation 283
Grounding Compassion in Ethical Conduct 286
Practicing the Five Ethical Challenges 288
Application with Individual Clients 290
Application with Groups 292
Frequently Asked Questions 294
References 303
Session 10: Promoting Well‐Being and Outgrowing Suffering 305
Introduction 305
Checking Client Progress 305
Assessing Results 307
Supporting Personal Growth: Ten Maturing Factors 309
Maintenance of Mindfulness Practice 310
Application with Individual Clients 312
Application with Groups 313
References 318
Part 3 Summary Checklists and MiCBT Scripts 319
Appendix 1: Summaries of Weekly Content 321
Session 1: Summary of weekly content—individuals 321
Session 1: Summary of weekly content—groups 322
Session 2: Summary of weekly content—individuals 323
Session 2: Summary of weekly content—groups 324
Session 3: Summary of weekly content—individuals 324
Session 3: Summary of weekly content—groups 325
Session 4: Summary of weekly content—individuals 326
Session 4: Summary of weekly content—groups 327
Session 5: Summary of weekly content—individuals 327
Session 5: Summary of weekly content—groups 328
Session 6: Summary of weekly content—individuals 329
Session 6: Summary of weekly content—groups 329
Session 7: Summary of weekly content—individuals 330
Session 7: Summary of weekly content—groups 330
Session 8: Summary of weekly content—individuals 331
Session 8: Summary of weekly content—groups 332
Session 9: Summary of weekly content—individuals 333
Session 9: Summary of weekly content—groups 334
Session 10: Summary of weekly content—individuals 334
Session 10: Summary of weekly content—groups 335
Appendix 2: Audio Instruction Scripts for Therapists 337
Guidelines for Therapists 337
General Introduction 337
Rationale for Mindfulness Training 338
Introduction to Progressive Muscle Relaxation Script (Session 1) 340
Progressive Muscle Relaxation Script (Session 1) 340
Introduction to Mindfulness of Breath Script (Session 2) 342
Mindfulness of Breath Script (Session 2) 342
Introduction to Part‐by‐Part Body Scanning Script (Session 3) 344
Part‐by‐Part Body Scanning Script (Session 3) 344
Withdrawing Audio Instructions Script (Session 4) 347
Introduction to Advanced Scanning Script (Session 5) 348
Symmetrical Scanning Script (Session 5) 348
Introduction to Partial Sweeping Script (Session 6) 349
Partial Sweeping Script (Session 6) 349
Introduction to Sweeping en masse Script (Session 7) 350
Sweeping en masse Script (Session 7) 351
Introduction to Transversal Scanning Script (Session 8) 352
Transversal Scanning Script (Session 8) 352
Note on Session 9 353
Introduction to Loving‐Kindness Meditation Script (Session 9) 353
Loving‐Kindness Meditation Script (Session 9) 354
Index 356
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